can the prime minister tell us whether he has kept that promise? >> the promise we have kept is that we would increase spending every year under this government and in britain, in england that is happening, in wales there's a massive cuts run by a neighbor. >> mr. speaker, several thousand fewer nurses with the public supporting and a very specific question about a promise by the secretary, the leader of the house, promise a year ago he promised a year ago that there will be no rationing. this is what the president of the world college of ophthalmologists recently said. he said this. pcs are not falling government guidelines. there restricting access to cataract surgery. he got rid of them. can the prime minister tell me why for the first time in six years the number of cataract operations actually fell? what i can tell him is under this government the number of doctors is up, the number of operations is up, waiting lists are down, waiting time down. that is what is happening. he quote primary care trust. there abolishing primary care trust and put